CPT code 22634: Lumbar fusion, each additional interspace2026 Medicare rate & RVUs in New Mexico
Reports each additional lumbar interspace fused using combined posterior or posterolateral and posterior interbody techniques during a multilevel fusion.
In New Mexico, Medicare pays $442.63 for 22634 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 22634 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 22634 covers
This code captures each additional lumbar disc space fused after the first when the surgeon combines a posterior or posterolateral fusion with an interbody fusion performed from the back. The surgeon prepares the disc space and performs interbody fusion while also creating a posterior or posterolateral fusion at that level. Laminectomy or discectomy performed to prepare the interspace is part of the service. Spine surgeons typically report it for multilevel lumbar fusion operations in hospital or ambulatory surgical settings.
Report 22634 for each additional interspace treated with the combined technique beyond the initial level represented by 22633. It is an add-on code and must be billed with that primary procedure; it is paid within the primary procedure's global period. The operative report should identify each fused interspace and document both fusion techniques at each additional level. Count interspaces, not vertebrae or implants.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How New Mexico compares for 22634
Across 109 of 109 payment localities, the facility rate for 22634 runs from $369.25 in Wisconsin to $567.88 in Miami, FL. New Mexico pays $442.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$442.63
- Los Angeles, CA · California$430.17−$12.46
- Washington, DC area · District of Columbia$471.79+$29.16
- Miami, FL · Florida$567.88+$125.25
- Chicago, IL · Illinois$546.39+$103.76
- Manhattan, NY · New York$513.75+$71.12
- Alaska · Alaska$529.11+$86.48
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $384.24 |
| ArkansasArkansas | — | $378.46 |
| ArizonaArizona | — | $417.43 |
| Bakersfield, CACalifornia | — | $412.14 |
| Chico, CACalifornia | — | $405.33 |
| El Centro, CACalifornia | — | $405.76 |
| Fresno, CACalifornia | — | $405.33 |
| Hanford, CACalifornia | — | $405.33 |
| Madera, CACalifornia | — | $405.33 |
| Merced, CACalifornia | — | $405.33 |
| Modesto, CACalifornia | — | $405.33 |
| Napa, CACalifornia | — | $434.19 |
| Oxnard, CACalifornia | — | $423.18 |
| Redding, CACalifornia | — | $405.33 |
| Rest of CaliforniaCalifornia | — | $405.33 |
| Riverside, CACalifornia | — | $432.91 |
| Sacramento, CACalifornia | — | $416.10 |
| Salinas, CACalifornia | — | $414.45 |
| San Diego, CACalifornia | — | $417.94 |
| Marin County, CACalifornia | — | $446.29 |
| San Francisco, CACalifornia | — | $443.36 |
| San Benito County, CACalifornia | — | $459.60 |
| Santa Clara County, CACalifornia | — | $447.62 |
| San Luis Obispo, CACalifornia | — | $409.08 |
| Santa Cruz, CACalifornia | — | $416.74 |
| Santa Maria, CACalifornia | — | $414.29 |
| Santa Rosa, CACalifornia | — | $420.21 |
| Stockton, CACalifornia | — | $405.33 |
| Vallejo, CACalifornia | — | $429.97 |
| Visalia, CACalifornia | — | $405.33 |
| Yuba City, CACalifornia | — | $405.33 |
| ColoradoColorado | — | $422.36 |
| ConnecticutConnecticut | — | $462.53 |
| DelawareDelaware | — | $424.09 |
| Fort Lauderdale, FLFlorida | — | $503.30 |
| Rest of FloridaFlorida | — | $472.05 |
| Atlanta, GAGeorgia | — | $452.04 |
| Rest of GeorgiaGeorgia | — | $439.67 |
| Hawaii, Guam, HIHawaii | — | $408.21 |
| IowaIowa | — | $373.17 |
| IdahoIdaho | — | $380.15 |
| East St. Louis, ILIllinois | — | $512.95 |
| Rest of IllinoisIllinois | — | $473.47 |
| Suburban Chicago, ILIllinois | — | $503.24 |
| IndianaIndiana | — | $381.88 |
| KansasKansas | — | $381.43 |
| KentuckyKentucky | — | $415.54 |
| New Orleans, LALouisiana | — | $439.12 |
| Rest of LouisianaLouisiana | — | $418.90 |
| Metropolitan Boston, MAMassachusetts | — | $450.60 |
| Rest of MassachusettsMassachusetts | — | $423.82 |
| Baltimore area, MDMaryland | — | $463.48 |
| Rest of MarylandMaryland | — | $429.11 |
| Rest of MaineMaine | — | $392.99 |
| Southern Maine, MEMaine | — | $399.96 |
| Detroit, MIMichigan | — | $488.61 |
| Rest of MichiganMichigan | — | $436.07 |
| MinnesotaMinnesota | — | $374.40 |
| Metropolitan Kansas City, MOMissouri | — | $425.24 |
| Metropolitan St. Louis, MOMissouri | — | $428.53 |
| Rest of MissouriMissouri | — | $418.27 |
| MississippiMississippi | — | $397.93 |
| MontanaMontana | — | $432.37 |
| North CarolinaNorth Carolina | — | $395.59 |
| North DakotaNorth Dakota | — | $381.35 |
| NebraskaNebraska | — | $372.23 |
| New HampshireNew Hampshire | — | $425.34 |
| Northern New JerseyNew Jersey | — | $468.68 |
| Rest of New JerseyNew Jersey | — | $459.29 |
| NevadaNevada | — | $418.24 |
| NYC suburbs and Long Island, NYNew York | — | $539.46 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $470.58 |
| Queens, NYNew York | — | $503.09 |
| Rest of New YorkNew York | — | $402.59 |
| OhioOhio | — | $425.65 |
| OklahomaOklahoma | — | $404.00 |
| Portland, OROregon | — | $424.30 |
| Rest of OregonOregon | — | $406.60 |
| Metropolitan Philadelphia, PAPennsylvania | — | $457.41 |
| Rest of PennsylvaniaPennsylvania | — | $420.65 |
| Puerto RicoPuerto Rico | — | $432.21 |
| Rhode IslandRhode Island | — | $431.04 |
| South CarolinaSouth Carolina | — | $412.99 |
| South DakotaSouth Dakota | — | $375.32 |
| TennesseeTennessee | — | $384.71 |
| Austin, TXTexas | — | $428.29 |
| Beaumont, TXTexas | — | $418.58 |
| Brazoria, TXTexas | — | $414.87 |
| Dallas, TXTexas | — | $422.29 |
| Fort Worth, TXTexas | — | $422.54 |
| Galveston, TXTexas | — | $419.18 |
| Houston, TXTexas | — | $466.41 |
| Rest of TexasTexas | — | $419.74 |
| UtahUtah | — | $418.52 |
| VirginiaVirginia | — | $405.72 |
| Virgin Islands, VIUnited States Virgin Islands | — | $432.21 |
| VermontVermont | — | $389.10 |
| Rest of WashingtonWashington | — | $419.94 |
| King County, WAWashington | — | $449.52 |
| WisconsinWisconsin | — | $369.25 |
| West VirginiaWest Virginia | — | $458.26 |
| WyomingWyoming | — | $410.14 |
22634 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 22634 rate is calculated
Each of 22634’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 22634
RVUs × geographic indexes × conversion factor
Work7.76
7.76 RVUs× 1.000 GPCI
Practice expense2.61
2.61 RVUs× 1.000 GPCI
Malpractice2.58
2.58 RVUs× 1.000 GPCI
Adjusted RVUs
12.9500
Conversion factor
$33.4009
Medicare rate
$432.54
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
2,099
- Code
- 22634
- Physician work
- 7.76
- Practice expense
- 2.61
- Malpractice
- 2.58
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.76 | × 1.000 | 7.7600 |
| Practice expense | 2.61 | × 0.917 | 2.3934 |
| Malpractice | 2.58 | × 1.201 | 3.0986 |
| Total RVUs | 13.2519 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$442.63
Facility: (7.76 × 1 + 2.61 × 0.917 + 2.58 × 1.201) × $33.4009 = $442.63
Payment rules and modifiers for 22634
The CMS indicators that decide how 22634 is paid alongside other services.
CMS payment indicators · 22634
Lumbar fusion, each additional interspace
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
22634 without 80 · national facility
$432.54
Lumbar fusion, each additional interspace
22634-80 · Assistant: 16%
$69.21
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 22634 has changed in New Mexico
22634 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $442.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $442.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $442.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $442.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $473.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $473.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $473.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $473.19 | RVU25A |
| 2024-10-01 | Not available in this setting | $485.01 | RVU24D |
| 2024-07-01 | Not available in this setting | $485.01 | RVU24C |
| 2024-04-01 | Not available in this setting | $485.01 | RVU24B |
| 2024-03-09 | Not available in this setting | $485.01 | RVU24AR |
| 2024-01-01 | Not available in this setting | $477.09 | RVU24A |
| 2023-10-01 | Not available in this setting | $489.82 | RVU23D |
| 2023-07-01 | Not available in this setting | $489.82 | RVU23C |
| 2023-04-01 | Not available in this setting | $489.82 | RVU23B |
| 2023-01-01 | Not available in this setting | $489.82 | RVU23A |
| 2022-10-01 | Not available in this setting | $506.39 | RVU22D |
| 2022-07-01 | Not available in this setting | $506.39 | RVU22C |
| 2022-04-01 | Not available in this setting | $506.39 | RVU22B |
| 2022-01-01 | Not available in this setting | $506.39 | RVU22A |
| 2021-10-01 | Not available in this setting | $507.46 | RVU21D |
| 2021-07-01 | Not available in this setting | $507.46 | RVU21C |
| 2021-04-01 | Not available in this setting | $507.46 | RVU21B |
| 2021-01-01 | Not available in this setting | $507.46 | RVU21A |
| 2020-10-01 | Not available in this setting | $524.66 | RVU20D |
| 2020-07-01 | Not available in this setting | $524.66 | RVU20C |
| 2020-04-01 | Not available in this setting | $524.66 | RVU20B |
| 2020-01-01 | Not available in this setting | $524.66 | RVU20A |
| 2019-10-01 | Not available in this setting | $532.52 | RVU19D |
| 2019-07-01 | Not available in this setting | $532.52 | RVU19C |
| 2019-04-01 | Not available in this setting | $532.52 | RVU19B |
| 2019-01-01 | Not available in this setting | $532.52 | RVU19A |
| 2018-10-01 | Not available in this setting | $532.48 | RVU18D |
| 2018-07-01 | Not available in this setting | $532.48 | RVU18C |
| 2018-04-01 | Not available in this setting | $532.48 | RVU18B |
| 2018-01-01 | Not available in this setting | $532.48 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $528.81 | RVU17D |
| 2017-07-01 | Not available in this setting | $528.81 | RVU17C |
| 2017-04-01 | Not available in this setting | $528.81 | RVU17B |
| 2017-01-01 | Not available in this setting | $528.81 | RVU17A |
| 2016-10-01 | Not available in this setting | $524.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $524.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $524.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $524.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $527.71 | RVU15D |
| 2015-07-01 | Not available in this setting | $527.71 | RVU15C |
| 2015-04-01 | Not available in this setting | $525.09 | RVU15B |
| 2015-01-01 | Not available in this setting | $525.09 | RVU15A |
| 2014-10-01 | Not available in this setting | $505.64 | RVU14D |
| 2014-07-01 | Not available in this setting | $505.64 | RVU14C |
| 2014-04-01 | Not available in this setting | $505.64 | RVU14B |
| 2014-01-01 | Not available in this setting | $505.64 | RVU14A |
| 2013-10-01 | Not available in this setting | $485.78 | RVU13D |
| 2013-07-01 | Not available in this setting | $485.78 | RVU13C |
| 2013-04-01 | Not available in this setting | $485.78 | RVU13B |
| 2013-01-01 | Not available in this setting | $485.78 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
22634 billing questions
Which primary code must accompany 22634?
Report 22634 with 22633, which represents the initial lumbar interspace treated with the combined posterior or posterolateral and posterior interbody techniques.
How many units should be reported?
Report one unit for each additional lumbar interspace treated with the combined technique beyond the initial level. Count fused interspaces, not vertebrae.
How does 22634 differ from 22632?
22634 represents an additional interspace treated with combined posterior or posterolateral and posterior interbody fusion. 22632 is the additional-level code for posterior interbody fusion without the combined technique.
What operative documentation supports 22634?
Document the specific additional lumbar interspace and the posterior or posterolateral fusion and posterior interbody fusion performed there.
Is interspace preparation separately described by 22634?
The code includes laminectomy or discectomy performed to prepare the interspace for the interbody fusion. Document the work and its purpose in the operative report.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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